| Dr Michael C Mcdonough, LICENSED CLINICALPSY | |
|
112 Beech Street, Suite 1a, Gate City, VA 24251 | |
| (276) 386-8012 | |
| Not Available |
| Full Name | Dr Michael C Mcdonough |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 29 Years |
| Location | 112 Beech Street, Gate City, Virginia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689960221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2451 (Virginia) | Primary |
| Entity Name | Southwest Virginia Child Development Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134477060 PECOS PAC ID: 9234379454 Enrollment ID: O20130711000916 |
| Entity Name | Southwest Virginia Child Development Services Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982333167 PECOS PAC ID: 9830578905 Enrollment ID: O20220621000033 |
| Entity Name | Southwest Virginia Child Development Services Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982333167 PECOS PAC ID: 9032587555 Enrollment ID: O20221115000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael C Mcdonough, LICENSED CLINICALPSY 1447 Glenmar Ave, Mt Carmel, TN 37645-3026 Ph: (276) 690-5535 | Dr Michael C Mcdonough, LICENSED CLINICALPSY 112 Beech Street, Suite 1a, Gate City, VA 24251 Ph: (276) 386-8012 |
Ms. Katrina Rhenea Smith-toole, ED.S/ M.ED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 340 E Jackson St, Gate City, VA 24251 Phone: 276-386-7615 | |
Dr. Daniel Alexander Hardwick, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 112 Beech St, Gate City, VA 24251 Phone: 276-386-3803 | |
Farah Ester Williams, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 175 Military Ln, Gate City, VA 24251 Phone: 276-452-1144 Fax: 423-467-3644 |